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Inspection Summary


Overall summary & rating

Good

Updated 11 August 2018

Frome Care Village provides care and accommodation for up to 60 people in two separate buildings. Woodlands provides nursing care in a purpose built building and The Parsonage an adapted building provides care and support for people living with dementia. At the time of our inspection there were 56 people living at Frome Care Village.

Frome Care Village is a “care home”. People living in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There is a registered manager for the service this is a legal requirement. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The inspection took place on 18 April and 19 April 2018 and was unannounced for the first day and announced for the second day.

People spoke positively about the quality of the meals. One person said, "I always enjoy my meals here and there is always a choice." There were arrangements to make sure people's nutritional needs were catered for and meals were relaxed. However, this could be improved by looking at providing opportunities for some people to choose to have a shared and more social meal experience.

Ongoing improvements to The Parsonage had helped to make the environment suitable for people living with dementia. However, the top floor would benefit from the creating of a more light and airy environment.

People told us they felt safe living in the home. One person said, "I always feel safe here because there are always staff around when you need them." There was an environment which promoted independence and recognised the right of people to live the life they chose. Staff had a real understanding of people living with dementia specifically around how this could impact on people's communication and behaviour.

Staff supported people in a caring, compassionate and sensitive way. They recognised the importance of treating people with respect. One person told us, "You cannot fault the staff they are so caring and kind."

Staffing arrangements had improved since our last inspection with improved retention and recruitment of staff. There was consistency and continuity in the providing of care as a result of this improvement.

There was an approach, to ensure people particularly those with complex mental health needs were supported by specialist services with the home recognising the importance of working with other health and social care professionals.

The provider and registered manager were actively promoting a culture where people could be confident of receiving quality care which met their needs. They recognised the importance of having skilled and trained staff in providing consistent care to people living in the home.

People and staff spoke positively of an approachable management where they felt listened to and encouraged to be part of the home and how decisions were made and care provided.

Inspection areas

Safe

Good

Updated 11 August 2018

The service is safe.

People benefited from a culture where risk is, as far as possible, managed and alleviated through robust assessment and review of incidents.

Continuity of care and consistent staffing is a key feature of the service benefiting people who live in the home.

People benefited from staff who recognised their responsibilities in protecting people from abuse and risks to their health and welfare.

Effective

Good

Updated 11 August 2018

The service was effective

People had the opportunity to have a relaxing mealtime experience and having their dietary needs met. However, improvements could be made in ensuring staff availability to support people where this was needed and providing a more social dining experience for people living on the top floor of the Parsonage.

People living on The Woodlands had the benefit of facilities which met their physical needs effectively. However, whilst efforts had been made to improve the environment of the Parsonage people living on the top floor would benefit from further improvements.

People benefitted from being supported by competent and trained staff.

People could be assured their legal rights were protected particularly where they may lack capacity.

Caring

Good

Updated 11 August 2018

The service was very caring

People benefitted from a compassionate and caring approach where dignity and privacy were respected.

People could be assured staff responded in an appropriate and caring, sensitive way to behaviour which others may view as challenging.

People benefitted from an approach which viewed people as "family" and this promoted a kind, sensitive understanding of the person.

Responsive

Good

Updated 11 August 2018

The service was responsive

People had the opportunity to express their views about the quality of care they received.

People benefited from care which was focused on their individual needs, routines and preferences.

People had the opportunity to take part in meaningful activities.

Well-led

Good

Updated 11 August 2018

The service is well led

People benefitted from an environment and culture which was open and people felt listened to.

Quality assurance systems were in place to identify and make improvements where these were needed.

People benefited from an open and approachable registered manager.